Lenus,the Irish health repository Collection:http://hdl.handle.net/10147/135449
Mon, 03 Aug 2015 00:27:37 GMT2015-08-03T00:27:37ZLenus,the Irish health repository Collection:http://www.lenus.ie:80/hse/retrieve/295541/sjog.bmphttp://hdl.handle.net/10147/135449
Hospitaller Order of St John of God: Lucena clinic: a philosophy of nurturing the life and health of the family within a healing envronment.http://hdl.handle.net/10147/337600
Title: Hospitaller Order of St John of God: Lucena clinic: a philosophy of nurturing the life and health of the family within a healing envronment.
Authors: Lucena Clinic, Hospitaller Order of St John of God.
Description: The Hospitaller
Order of St John of God
is a world-wide Catholic
health care organisation
providing services in forty
six countries.
The Order was founded
by St. John of God in
Granada, Spain. In 1537
he opened his first
hospital on Lucena Street,
which he called a house
of hospitality.
The mission of each Lucena
Clinic is to provide a
specialised and
comprehensive mental
health service to the
children and families of
Dublin South and West and
County Wicklow.Fri, 01 Jan 1993 00:00:00 GMThttp://hdl.handle.net/10147/3376001993-01-01T00:00:00ZObsessive compulsive symptoms in patients with schizophrenia on clozapine and with obsessive compulsive disorder: a comparison study.http://hdl.handle.net/10147/335856
Title: Obsessive compulsive symptoms in patients with schizophrenia on clozapine and with obsessive compulsive disorder: a comparison study.
Authors: Doyle, Mairead; Chorcorain, Aoife Ni; Griffith, Eleanor; Trimble, Tim; O'Callaghan, Eadbard
Abstract: Obsessive compulsive symptoms are commonly reported in those with schizophrenia. Clozapine has previously been reported to induce, aggravate and alleviate these symptoms. It is unclear if these are similar to the symptoms experienced by those with obsessive compulsive disorder. This study describes the obsessive compulsive symptom profile of a population of patients with schizophrenia treated with clozapine (n = 62) and compares this with patients with Obsessive Compulsive Disorder (n = 35). All participants were attending an outpatient community mental health service. The Obsessive Compulsive Inventory (which measures the frequency and associated distress of a range of "behavioural" and "cognitive" symptoms), the Hospital Anxiety and Depression Scale and a demographic questionnaire were completed. In addition the schizophrenia group treated with clozapine completed the Brief Psychiatric Rating Scale. The OCD group reported significantly more symptoms for all OCI subscales compared to the clozapine group. Overall fourteen (22%) of the schizophrenia treated with clozapine group had clinically significant total OCI scores. Two (3%) had documented OCS pre clozapine. De novo OCS was reported in twelve (19%) cases. Nine (11%) had documented OC symptoms pre-clozapine while only two (3%) had symptoms after clozapine was initiated. In terms of OC symptom profile, the clozapine group scored highest on the Doubting scale, a cognitive symptom whereas the OCD group scored highest on Washing, a behavioural symptom. Both groups reported greater distress with cognitive rather than behavioural symptoms. Medication including clozapine dose was not correlated with symptom severity. Anxiety correlated highly with obsessive compulsive symptoms in the Clozapine group but not the OCD group. Within the Clozapine group, Obsessing correlated highly with Unusual Thought Content. Findings suggest that obsessive compulsive symptoms in the Clozapine group may reflect a subtype of 'schizo-obsessive' disorder.
Description: Obsessive compulsive symptoms are commonly reported in those with schizophrenia. Clozapine has previously been reported to induce, aggravate and alleviate these symptoms. It is unclear if these are similar to the symptoms experienced by those with obsessive compulsive disorder. This study describes the obsessive compulsive symptom profile of a population of patients with schizophrenia treated with clozapine (n = 62) and compares this with patients with Obsessive Compulsive Disorder (n = 35). All participants were attending an outpatient community mental health service. The Obsessive Compulsive Inventory (which measures the frequency and associated distress of a range of "behavioural" and "cognitive" symptoms), the Hospital Anxiety and Depression Scale and a demographic questionnaire were completed. In addition the schizophrenia group treated with clozapine completed the Brief Psychiatric Rating Scale. The OCD group reported significantly more symptoms for all OCI subscales compared to the clozapine group. Overall fourteen (22%) of the schizophrenia treated with clozapine group had clinically significant total OCI scores. Two (3%) had documented OCS pre clozapine. De novo OCS was reported in twelve (19%) cases. Nine (11%) had documented OC symptoms pre-clozapine while only two (3%) had symptoms after clozapine was initiated. In terms of OC symptom profile, the clozapine group scored highest on the Doubting scale, a cognitive symptom whereas the OCD group scored highest on Washing, a behavioural symptom. Both groups reported greater distress with cognitive rather than behavioural symptoms. Medication including clozapine dose was not correlated with symptom severity. Anxiety correlated highly with obsessive compulsive symptoms in the Clozapine group but not the OCD group. Within the Clozapine group, Obsessing correlated highly with Unusual Thought Content. Findings suggest that obsessive compulsive symptoms in the Clozapine group may reflect a subtype of 'schizo-obsessive' disorder.Wed, 01 Jan 2014 00:00:00 GMThttp://hdl.handle.net/10147/3358562014-01-01T00:00:00ZPayment of research participants: current practice and policies of Irish research ethics committees.http://hdl.handle.net/10147/332792
Title: Payment of research participants: current practice and policies of Irish research ethics committees.
Authors: Roche, Eric; King, Romaine; Mohan, Helen M; Gavin, Blanaid; McNicholas, Fiona
Abstract: Payment of research participants helps to increase recruitment for research studies, but can pose ethical dilemmas. Research ethics committees (RECs) have a centrally important role in guiding this practice, but standardisation of the ethical approval process in Ireland is lacking.; Our aim was to examine REC policies, experiences and concerns with respect to the payment of participants in research projects in Ireland.; Postal survey of all RECs in Ireland.; Response rate was 62.5% (n=50). 80% of RECs reported not to have any established policy on the payment of research subjects while 20% had refused ethics approval to studies because the investigators proposed to pay research participants. The most commonly cited concerns were the potential for inducement and undermining of voluntary consent.; There is considerable variability among RECs on the payment of research participants and a lack of clear consensus guidelines on the subject. The development of standardised guidelines on the payment of research subjects may enhance recruitment of research participants.
Description: BACKGROUND:
Payment of research participants helps to increase recruitment for research studies, but can pose ethical dilemmas. Research ethics committees (RECs) have a centrally important role in guiding this practice, but standardisation of the ethical approval process in Ireland is lacking.
AIM:
Our aim was to examine REC policies, experiences and concerns with respect to the payment of participants in research projects in Ireland.
METHOD:
Postal survey of all RECs in Ireland.
RESULTS:
Response rate was 62.5% (n=50). 80% of RECs reported not to have any established policy on the payment of research subjects while 20% had refused ethics approval to studies because the investigators proposed to pay research participants. The most commonly cited concerns were the potential for inducement and undermining of voluntary consent.
CONCLUSIONS:
There is considerable variability among RECs on the payment of research participants and a lack of clear consensus guidelines on the subject. The development of standardised guidelines on the payment of research subjects may enhance recruitment of research participants.Sun, 01 Sep 2013 00:00:00 GMThttp://hdl.handle.net/10147/3327922013-09-01T00:00:00ZThe therapeutic relationship after psychiatric admission.http://hdl.handle.net/10147/324613
Title: The therapeutic relationship after psychiatric admission.
Authors: Roche, Eric; Madigan, Kevin; Lyne, John P; Feeney, Larkin; O'Donoghue, Brian
Abstract: The therapeutic relationship is one of the most central and important factors in the treatment of mental health disorders. A better therapeutic relationship is associated with service engagement, medication adherence, and satisfaction with services. This study aimed to compare the demographic and clinical factors associated with the therapeutic relationship in voluntarily and involuntarily admitted psychiatric service users. We found that individuals who had been admitted involuntarily, who had a diagnosis of a psychotic disorder, and who reported higher levels of perceived pressures on admission were more likely to have a poorer therapeutic relationship with their consultant psychiatrist. Greater levels of insight and treatment satisfaction, together with higher levels of procedural justice experienced on admission, were associated with a better therapeutic relationship. We found that the level of perceived coercion on admission was not related to the therapeutic relationship. Targeted interventions to improve the therapeutic relationship, particularly for involuntarily admitted service users, are discussed.Sat, 01 Mar 2014 00:00:00 GMThttp://hdl.handle.net/10147/3246132014-03-01T00:00:00Z